Craniofacial resection for tumors of the nasal cavity and paranasal sinuses—A 17-year experience
✍ Scribed by Valerie J. Lund; David J. Howard; William I. Wei; Anthony D. Cheesman
- Publisher
- John Wiley and Sons
- Year
- 1998
- Tongue
- English
- Weight
- 113 KB
- Volume
- 20
- Category
- Article
- ISSN
- 1043-3074
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✦ Synopsis
Background:
The rarity of sinonasal tumors has precluded long-term follow-up of large series of craniofacial resections until now.
Methods:
A series of 209 patients suffering from a wide range of histologies who had undergone craniofacial resection for sinonasal neoplasia with up to 17 years' follow-up were analyzed.
Results:
An overall actuarial survival of 51% at 5 years and 41% at 10 years was found for the cohort as a whole. for malignant tumors, the 5-year actuarial survival was 44%, falling to 32% at 10 years. for benign pathology, the actuarial survival was 75% at both 5 and 10 years. statistical analysis identified three factors which significantly affect outcome and survival: malignant histology, brain involvement, and orbital involvement. few complications are associated with the surgery, with the mean post-operative stay being 16 days.
Conclusions:
The improved survival and minimal morbidity and mortality associated with craniofacial resection make it the optimum approach to sinonasal tumors.